Individual
CIELO PERRENOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1220 HUNTINGTON DR, DUARTE, CA 91010-2477
(626) 359-6618
Mailing address
3042 E CECELIA ST, WEST COVINA, CA 91792-2005
(626) 674-0953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16105
CA
Other
Enumeration date
01/01/2020
Last updated
01/01/2020
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